Director, Applications - Claims Processing

JOB DESCRIPTION Job Summary Leads and directs team responsible for applications activities on Microsoft Azure cloud infrastructure. Responsible for designing, developing, and communicating technology models and foundations used to run applications, data, and infrastructure in support of health care payor business processes serving Medicare/Medicaid members. Applies and promotes key principles (stability, scalability, performance, security, compatibility, re-use) leveraging Azure services, AI-first development practices using Visual Studio with GitHub Copilot, and integrations with low-code platforms (Pega, Salesforce, Sitecore) to ensure a balance between tactical and strategic technology solutions. Drives a team culture of end-to-end ownership, cross-functional collaboration, and business partnership. Ensures team effectively partners with business stakeholders across clinical, financial, and operational functions to deliver measurable outcomes that improve member health and organizational efficiency. Champions adoption of Azure cloud-native architecture patterns, AI/ML capabilities, and quality assurance automation excellence. Promotes use of industry and enterprise technology standards, evaluates emerging technologies for application, and ensures adherence to design and application development standards, methodologies and frameworks within architectural compliance and governance. Essential Job Duties

• Oversees team of Forward Deployed Engineers responsible for developing

software applications on Microsoft Azure to meet key business objectives; establishes performance metrics aligned with health care payor outcomes.

• Drives team culture of end-to-end ownership, ensuring engineers take ownership

of business problems rather than functioning as point solution experts.

• Champions AI-first development practices, ensuring team leverages Visual

Studio with GitHub Copilot, Azure AI services, and machine learning capabilities.

• Project manages applications implementation, integration, and enhancements

using Azure DevOps and Agile methodologies at scale.

• Leads enterprise quality assurance automation strategy and ensures team

adoption of automated testing practices.

• Drives strategic integration with low-code platforms (Pega, Salesforce,

Sitecore) to maximize enterprise technology investments.

• Manages key vendor relationships and strategic Azure cloud service

partnerships.

• Manages support activities (break fix, operations, large requests) to meet

established service levels on Azure infrastructure.

• Takes a key leadership role in evolving Molina application development and

design practices toward cloud-native, AI-enabled solutions.

• Leads design and architecture reviews ensuring compliance with Azure

Well-Architected Framework and security standards.

• Collaborates with enterprise project management office and business analysts

to deliver strategic Medicare/Medicaid initiatives.

• Develops software (hands-on code development) on Azure to meet key business

objectives as needed.

• Designs enterprise cloud-native software applications solving complex health

care payor business problems.

• Gathers business requirements and develops conceptual and technical designs

for multiple large-scale projects concurrently.

• Conducts reviews of developers (internal and contract staff) ensuring

standards, quality, and enterprise architecture alignment.

• Leads build versus buy evaluation with strategic consideration of Azure

marketplace and platform capabilities.

• Leads architecture and design discussions ensuring adherence to Azure cloud

patterns and enterprise standards.

• Provides design and architectural expertise to technical teams, business

partners, and leadership.

• Supports application system/service owner for system performance, budgeting

and planning on Azure infrastructure.

• Monitors application stability and scalability leveraging Azure Monitor,

Application Insights, and proactive alerting.

• Ensures alignment with project methodologies, change management, and

enterprise governance processes.

• Organizes, manages and leads cross-team project tasks and deliverables across

technical and business functions.

• Drives cross-functional collaboration ensuring technical teams partner

effectively with business stakeholders.

• Ensures HIPAA compliance and health care data governance standards are

maintained across all solutions.

• Hires, trains, mentors, and develops a high-performing team with Forward

Deployed Engineer mindset; demonstrates accountability for team performance and department goals.

Required Qualifications

• At least 8 years of information technology (IT) applications/coding

development experience in large organizations in the managed care industry, or equivalent combination of relevant education and experience.

• At least 3 years of management/leadership experience.
• Advanced experience with Microsoft Azure cloud services (App Services,

Functions, AKS, Azure SQL, Data Factory, Synapse, Azure DevOps).

• Expert proficiency with Visual Studio and AI-assisted development using GitHub

Copilot and Azure AI services.

• Experience leading enterprise quality assurance automation strategy and

implementing testing frameworks at organizational scale.

• Advanced experience with low-code platforms (Pega, Salesforce, Sitecore) and

enterprise architecture patterns.

• Advanced technical experience with IT enterprise infrastructure and Azure

cloud architecture.

• Health care payor industry experience, including Medicare/Medicaid operations

and compliance knowledge.

• Specific domain expertise with government programs (Medicaid, Medicare,

Marketplace).

• Microsoft technologies, Mobility and Information Technology Infrastructure

Library (ITIL) experience.

• Experience working with Trizetto QNXT application and enterprise health care

systems.

• Advanced understanding of IT concepts including test automation, software

development lifecycle (SDLC), and IT general controls.

• Hands-on experience with .NET framework and Azure serverless technologies.
• Experience with global delivery models and working with third-party

consultancies.

• Fluent in modern DevOps frameworks based on Azure DevOps or Atlassian

framework.

• Forward Deployed Engineer leadership philosophy - proven track record building

teams focused on end-to-end business ownership.

• Demonstrated ability to build strategic relationships across executive

leadership and influence organizational outcomes.

• Strong critical-thinking and problem-solving skills with focus on business

transformation.

• Advanced knowledge/experience with agile principles, CI/CD practices, DevOps

culture, and Infrastructure as Code.

• Strong time-management and organizational skills with ability to lead

strategic, multi-team initiatives.

• Ability to collaborate cross-functionally in a highly matrixed organization

and influence at executive levels.

• Excellent verbal and written communication skills, and ability to present to

executive audiences.

• Experience with Microsoft Project/Jira, Microsoft O365 Cloud, Power BI, Azure

DevOps, and applicable software programs proficiency.

Preferred Qualifications

• Microsoft technologies, Mobility and Information Technology Infrastructure

Library (ITIL) experience.

• Azure certifications (Azure Solutions Architect Expert, Azure DevOps Engineer

Expert).

• Azure certifications (AZ-204, AZ-400).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V